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From:
katherine in atl <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Sun, 29 Aug 2004 10:15:26 -0400
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<<I have seen laboring mothers diagnosed with 'failure to progress' which
> was actually 'failure of the physician to wait'. I have seen babies
> diagnosed
> with 'breastmilk jaundice' when it was no such thing. I have known
> mothers
> terrified by their pediatricians who have used the term 'failure to
> thrive' for
> babies who have merely slowed their growth rate.
> So I am curious about this diagnosis of rickets and wonder if we will
> see
> more of that?
>     Daily sunbaths were part of standard infant care in the 1950s.>>

parents are not doing that b/c skin cancer rates and dermatologists have
scared them out of it.   appropriate sun exposure may very well be
sunscreen most of the time, then 'x' amout of time out in the middle of
the day when uvb (which produces d) is at it's highest


<< Seems to me that manufacturers want to patent everything we need to
make
> a supplement that will have to be purchased.>>

currently, the D3 supplements on the market, which are the ones we
should be using are from two sources, fish liver oil (incl cod) and
lanolin.

<<some agency says that the natural source is too dangerous and we have
to
> give our babies yet another synthetic derivative?>>

the natural source may or may not be too dangerous.  it depends on how
its used.   it requires knowledge about sun exposure and appropriate
amounts and skin protection after that amout has been reached.  it's a
complex issue  more complex than it seems at the surface.

however, even though i personally don't use sun exposure for D (i no
longer wear sunscreen but i'm outside minimally), my kids do....and
obviously, it's the optimal path for D sufficiency b/c it's how we
*evolved* to get our D requirements met.

doing it through supplementation is tricky b/c testing should be
required to make sure D status is optimal and neither too high nor too
low.  right now there is only blood testing available and it's $50-$140.

as more knowledge is gathered, there will probably some day be a formula
that factors in skin tone and latitude, then can give guidelines for the
amount of midday sun needed for optimal D status....and a clear
understanding of the fact that that cannot be acheived during the
'winter' months (which even here in atlanta, is about 5-6 mos per year
if we're talking about D).  and if sun can't or won't be used, there
will likely be specific recommendations for D requirements based on how
much incidental exposure there is, latitude then weighting the rest of
it towards supplements.


katherine in atl

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